Eric Michael Bradshaw Sr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN1000884 Issued in DC

Practice address

329 Rhode Island Ave NE Ste a
Washington, DC 20002-8129

Phone

(202) 529-6468

Fax

(202) 529-3052

NPI assigned

Jul 13, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mint Dental Group PLLC

  • General Practice Dentistry
  • Washington, DC
  • NPI 1790185809
  NPD (past)
• William E. Kelson, DDS & Associates

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1679604953
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1275845703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 RHODE ISLAND AVE NE STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200028129",
            "telephone_number": "202-529-6468",
            "fax_number": "202-529-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 RHODE ISLAND AVE NE STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200028129",
            "telephone_number": "202-529-6468",
            "fax_number": "202-529-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000884",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maeve Bradley, OT/S
• Sarita Bradley, HHA
• Tamara Bradley
• Andrew Bradshaw, LGSW
• Danielle Bradshaw
• Kevin C. Bradshaw, D.P.M.
• Monica Bradshaw
• Myles Bradshaw
• Serena Bradshaw
• Sharai Bradshaw, LMFT

• Dentist in Washington, DC
• Providers in Washington, DC by specialty
• Dentist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.